Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $309.03	Professional		$117.49	$138.04	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $141.25 / $1,258.93	Professional	26	$57.54	$141.25	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $194.98	Professional	TC	$57.54	$72.44	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $204.17	Professional		$120.23	$173.78	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $83.18 / $97.72	Professional	26	$57.54	$83.18	$97.72
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $91.20 / $107.15	Professional	TC	$63.10	$91.20	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $309.03	Professional		$151.36	$234.42	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $147.91	Professional	26	$72.44	$109.65	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $128.82 / $165.96	Professional	TC	$79.43	$128.82	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $363.08	Professional		$158.49	$190.55	$363.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $173.78	Professional	26	$75.86	$91.20	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $100.00 / $190.55	Professional	TC	$83.18	$100.00	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $426.58	Professional		$134.90	$158.49	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $851.14	Professional	26	$57.54	$85.11	$851.14
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $89.13 / $251.19	Professional	TC	$70.79	$89.13	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $331.13	Professional		$123.03	$213.80	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $154.88	Professional	26	$60.26	$91.20	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $123.03 / $169.82	Professional	TC	$61.66	$123.03	$169.82